Doctor profile · Federal record
Dr. Shawn Nishi, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Galveston, TX
- NPI 1013105816
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 21 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
301 University Blvd
Galveston, TX 775555302
(409) 643-4587
Credentials & registration
- NPI registered
- October 2007 — 19 yrs on file
- Profile last updated
- January 24, 2020
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Texas #M9546
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013105816. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
251
Distinct HCPCS
7
Medicare allowed
$30,211
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 97 | 30 | $118 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 65 | 51 | $98 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | 15 | $79 | |
99291 |
Critical care, first 30-74 minutes | 21 | 12 | $213 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $133 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | 14 | $130 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $161 |
In context: peer comparison
Among 5 peers in Galveston Pulmonary Disease Physician, average services per provider: 38. This provider delivers 6.6× the peer median.Open Payments
Industry payments received
All-time total
$38,120
Transactions
69
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Olympus Corporation of the Americas | 35 | $22,515.21 | |
| Intuitive Surgical, INC. | 30 | $15,440.94 | |
| Inspire Medical Systems, INC. | 2 | $113.18 | |
| Insmed, INC. | 1 | $25.31 | |
| Boston Scientific Corporation | 1 | $24.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
72
Patients
0
Total drug cost
$28,986
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 28 | 0 | $882 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 20 | 0 | $13,881 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 13 | 0 | $8,576 |
| Combivent Respimat (Ipratropium/Albuterol Sulfate) | Brand | 11 | 0 | $5,647 |
Frequently asked questions
What is Dr. Shawn Nishi's medical specialty?
Dr. Shawn Nishi practices Pulmonary Disease Physician in Galveston, TX.
Where does Dr. Shawn Nishi practice?
Dr. Shawn Nishi practices at 301 University Blvd, Galveston, TX 775555302. Office phone: 4096434587.
What is Dr. Shawn Nishi's NPI?
Dr. Shawn Nishi's National Provider Identifier (NPI) is 1013105816, issued by NPPES.
Does Dr. Shawn Nishi accept Medicare assignment?
Yes. Dr. Shawn Nishi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shawn Nishi commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.